HomeMy WebLinkAbout91-1905
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
Permit N~
1905Li
7 :2 < .s-Z)
'? '70()
/-
Ty e of Permit
BUILDING DEPARTMENT
1-813-788-6611
Date /J- </-7 /
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ME~L ')J~ ~1 /00 t<,2~~
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Legal Description: Sub,Div. Lot Blk.
Zoning CI: d. - ;lb- d-.I- 0 c: I 0 - /-39 00- C) 0 d- 0
Description of workfi~A'1A-----::l:f ~ ~ -fl / ~
/ ~
.3;;). 07:J
fo.-su
Energy Code Readout: =-~p
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: 7; Y ro. (.;{)
Fee: If, ~..!.-. JV
SIGNATURE - - - ~ ~- -~
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
COMPANY
ADDRESS
TELEPHONE #
OCCUPATIONAL LICENSE # J/ '1
,
PLUMBING )
SLB7i'~1/~V
Tub Set HI
Water '2 3/~ I
Sewer I
Final
It~P e~~1 '51...A~ .i'v........\\
Ii .-t\-6?f ~
ELECTRICAL
BUILDING
Tp.Serv.
Rough In /2.--/3.- '\ I
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
lintel ~
FRM. nr/~<-q,
Insul.CL
WL
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (510.00)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
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(;TTY OF 7.F.PHYRHTT.T.S C::ONNF.(;TTON FF.F.S
ORD. ft395 RESOLUTION 151 & 329 WATER $1. 75/GALLON SEWER $6.39/GALLON
RF.STDENTT At. (Each T.ot or Unit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131" 25 1.79.25
~
(:OMMF.R (:T AT. (PER FTXTURE)
Sinks 87.50 319.50
Water Closet 131. 25 479.2,5
Urinal , 87.50 319...50
Lavatory 43.75 159..]5
Tub/Shower 87.50 319.50
Washing Machines 350.00 1,278.00
FOOD SERVICE , .
Dishwasher . 700.00 2,556.00
Sinks 175.00 639.00
Car Hash (Per Stall) 1,000.00 6,390.00
FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE
I <t7. 50 9 '-0 ~DI. -
3/ ,6_
5:?6. e>O (" 7, E)O :2. cf2_ -
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2- 7 .(' o~ 39. ~ Pi
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I ~~" '15 IS? 7S ZD3, 50
Fe::> :SQ '( , / 11' S-. cC> 639. 0>0 2 It-(, c~
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/o~/:" 2.~ 3~ 7
l G 25. ~o
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--,-" WATER METER
GRAND TOTAL
Richard Back Contracting, Inc.
5215 Bernadette Drive
Zephyrhil/s, FL 33541
(813) 782-7277
Proposal
Page No.
of
Pages
PROPOSAL SUBMITTED TO
PHONE
DATE
t '
, ,
STREET
JOB NAME
.:"'..~
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CITY, STATE AND ZIP CODE
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ARCHITECT DATE OF PLANS
JOB PHONE
'( '( '"
We hereby proPose to furnish malerials and labor necessary lor the completion of:
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WE PROPOSE hereby to furnish material and labor - com;>lete in accordance with above specifications, for the sum of:
". , <-:,c) ----,.. . -'--.-..-...,- ,-, dollars ($ '- )
/ J ~.
Payment to be made as follows:
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: '. '. , i '" <,)'; l .' i', ' , ( ,^l i CI:; I 'C J
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All material Is guaranteed to be as specified. All work to be completed in a sub- I ,/
stantlal workmanlike manner according to specifications submitted. per standard Authorized *' i
practices. Any alteration or deviation from above speCifications involving extra Sicnature -( f' ('i.' .- ;.--'. ~
costs will be executed only upon written orders, and will become an extra charge ,
over and above the estimate. All agreements contingent upon strikes, accidents or Note: This proposal may be
delays beyond our control. Owner to carry fire, tornado and other necessary in-
surance. Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within i days,
ACCEPTANCE OF PROPOSAL The above prices, speCifications and condi-
tions are satisfactory and are hereby accepted. You are authorized to do the work
as specified. Payment will be made as outline above. Sicnature
Date of Acceptance: Sicnature
APPLICATION FOR PEIDlIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
Rirhi'lrrl Ri'lrk
fnntr.::lrtinb'
,
TnI"'
ADDRESS 3637 Fl 0 rid i'l R i'l n r h R 1 v rl _ PHONE 78272. 7 7
OWNER Nora Mi'lrkpt Sqllrlrp HnlrlingC::1 R \/ '
JOB LOCATION ~A107 M.::lrkt~t <;qllgre Dri"Q
LOT SIZE_X
AREA SQ.FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.~t 2_26_21_0010-13900-00/0
WORK PROPOSED:____New Construction ____Addition --X-Alteration ____Repair ____Ins tall
____Sign/Temp. _Sign _Hove ____Demolish
PROPOSED USE: ____Single Family _M/F _~t of Uni ts ,._M/H
1-commercial _Indust. _Swim. , Pool Other
____Restaurant & Health Department Approval
BUILDING SIZE: 40 X 145 ' 5800 Square Feet, 10'0011 Ceiling Height
25 X 80 2000
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS.**
**COpy OF CONTRACT REQUIRED.
~BUILDING
-LELECTRICAL
pF.RMITS REOUESTED
~4oo.~ Valuation of Total Construction
$
AMP Service Florida Power Corp.
_W.R.E.C.
____MECHANICAL $
/PLUMBING
o
Valuation of Mechanical Installation
GAS
~Block
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION:
_Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
J3U1LDER Ri~k:;6~ IRe Company Ri rh.rrl Rack ContractiRg,
~ ' State Cert. or Regist. n
Signature - - ,-- -. - -- - City License Regi' trat ion 1I 11 Q
******************************************
IRC.
:::::::: ;J;J;g:e- ~!;~::~~~r~:~e~~s:!:lI
******************************************
60
Company' ?( ~ rF~'~ r
State Cert. or Regist. #
City License Registration 4t ,5"" /
,
******************************************
Signature
Company
State Cert. or Regist. #
City License Registration i~
******************************************
Signa~ure
Company
State Cert. or Regist. #
City License Registration 4t
OTHER
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.,. .N~~I9'A."l!Mt' .uaOY.Jj:D BY
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PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
.
Th~ ,undersigned understands that this perllt lay be subject to 'deed restrictions' which may be aore restr,ictive than City
r~gulatlon5, The undersigned aSSUles responslbll1ty";for, cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with
stlte Ind local re~ulltions, If the contractor II not llc~nsed as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under stat~ IaN. If the Ollner or intended contractor are uncertain as to IIhat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, IBI3)
7BB-bbll.
Furth~raore, if the Ollner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
'Contractor Sections' of thi~' application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor lIishes you to sign
as contractor that aay be an indication that he is not properly licensed ~nd is not entitled to per~itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provi'ded with a copy of 'Florida's Construction Lien Lall - HOleowner's Protection
Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
'ollner', I certify that I have obtained a, copy of the abov~ described docullent and pre.rr,ise in good faith to deliver it to the
'owner. prior to cO.llenCelent.
E. CONTRACTOR'SIOWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will be done in coapliance with all
applicable lalls regulating construction, zoning, and land develop.ent. '
Application is hereby lade tel elbtain a penH to do work and inshllLltion as indi'cilted. I certify that no 1I0rk or
installation has cOllenced prior to issuance of a perlit and that all work will be perf~fmed tD ~eet standards of all lalls
regulating construction, City CDdes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies fiay apply'to the intended lIork, and that it is
.y responsibility to identify what actions I lust take to be in cOlllpliance. Such agencies include bl1\ ~le !lClt liaited to:'
...
I also certify that, if fill laterial is to be used in Hood Zc.ne 'A" or "A,etc.', it is understcle.d tt.~t a drainage plan
,addressing a 'colpensating volulle' will be sublitted which is prepared by a professional engineer regist~ied in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or
set aside any provisions of t,h~ technical codes, ,nor shall issuance of a perlllit prevent the Building Official frol thereafter
requiring a correction of errors i~ plans; cohstruction, or violations of any code. Every permit iS5\1~P .hall becDle invalid
unless the work authorized by such perlit is comllenced within six lIIonths of issu~nce, or if work authol Ized by the perlit is
suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e~tE~5ioll of tile, lay be
allolled for the perlllit lIith fee charge of $15.00. The extension shall be requested in writing -to the Building Official. An
approved inspecti~n ~ust be logged during each six lonth period, or the project will be (onsider~d db.\ldoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE'OF COMMENCEf1E:NT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE___~O- ~ -ER--O--R--AG~:~---------- SIGNATURE_~_~-~
-~6e}ER-6R-i G~ CONTRACTOR
DATE ____Lq-:-:L:-5.!--- -------------'-------
MY COMMISSION
NOTARY AS
OWNER OR A